Applicant Name
Constitution of Unit
ProprietaryPartnershipPvt. Ltd.Public LtdLLPCo-operative SocietyOther
Attach Proof:
Partner's Name
PAN Number
Attach PAN:
GST Number
Attach GST:
Permanent Address
Correspondence Address
Phone Number
Alternate Phone Number
Email
Business Experience (In Years)
Business Experience in Beverage Industry (In Years)
Annual Turnover
Item of Manufacturing/ Processing
Installed Capacity of Unit (in Cases) (CSD, Fruit Drink/Juices)
Utilized Capacity of Unit (in Cases) (CSD, Fruit Drink/Juices)
Interested City for Franchise
Space Available
YesNo
If yes area in Sq Mtr
DeclarationCertified that the information furnished in the form above are true and correct to the best of my knowledge and I will be responsible for the same. Further, I will abide by the terms and conditions of operating Elecon Beverages India Limited Franchise.